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Breed requires full Covid vaccination for indoor actions

Anjali Sundararaman, a student nurse at San Francisco State University, administers a dose of Moderna COVID-19 vaccine to Cuixia Xu during a vaccination clinic at the Southeast Health Center in the Bayview-Hunters Point neighborhood in San Francisco, California on Monday, Feb. 8, 2021.

Stephen Lam | San Francisco Chronicle | Hearst Newspapers via Getty Images

San Francisco on Thursday became the first major U.S. city to requiring patrons and employees to provide proof of full vaccination to enter restaurants, gyms, bars and entertainment venues.

The order from Mayor London Breed takes effect Aug. 20 for customers and Oct.13 for staff, prohibiting residents from submitting negative Covid-19 test results as a substitute to vaccination. Breed’s directive also applies to select health-care personnel, including pharmacists, dentists and home health aides.

“Vaccines are our way out of the pandemic, and our way back to a life where we can be together safely,” Breed said in a statement.

Under the order, anyone older than 12 must submit proof of vaccination to visit any indoor event with more than 1,000 guests. California previously only required attendees to get vaccinated for events with over 5,000 people, Breed’s statement said.

Breed noted the order entirely excludes individuals under the age of 12, who remain ineligible for all current Covid vaccines. Customers picking up food instead of dining inside are not required to get vaccinated either.

San Francisco County recorded a seven-day total of 1,708 new coronavirus cases as of Tuesday, a decrease of less than 3% from the prior week, according to the Centers for Disease Control and Prevention. But California reported a seven-day average of more than 12,000 new cases as of Wednesday, an increase of 24% from a week ago, Johns Hopkins University measured.

San Francisco joins New York City as one of the country’s largest municipalities with vaccine mandates for select indoor activities. New York City will start enforcing its mandate Sept. 13, when customers and staff must provide proof of having received at least one vaccine dose to exercise, eat at restaurants and access entertainment options inside.

San Francisco previously collaborated with six other Northern California counties in mandating facial coverings for indoor public places on Aug. 2, upgrading a mask recommendation they first issued in July.

Several Bay Area-based companies have ordered all or part of their staff to immunize against the coronavirus as well, including Google, Facebook and Gap. At least a dozen other major employers nationwide have enacted similar guidance as the delta variant continues to surge.

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As a group, however, the interviewed experts were unable to vaccinate children. Many cited the risk of long-term physical and neurological effects from Covid-19, which are still unknown in children. And they were concerned about new variants of the virus that could become more dangerous for children.

“We’re still learning about the long-term effects of Covid-19 in asymptomatic and mildly symptomatic, previously healthy individuals,” said Ms. Ergas of the Massachusetts Department of Public Health. “I’m not panic about my kids getting Covid, but I’d rather they not.”

Others were more concerned. “I suspect that some of the children with Covid-19 infection will continue to have inflammation-related problems,” said Dr. Jessica Ericson, an infectious disease pediatrician at Penn State College of Medicine. “The long-term consequences of Covid-19 are currently unknown, but it is unlikely to be zero. This is in contrast to vaccination, which has no plausible long-term effects. “

In addition to the health of children, pediatric vaccines are necessary for the common good. The pandemic in the United States is unlikely to end until children are vaccinated, they said. Although children are less likely than adults to spread the coronavirus, it will mutate as long as the virus can replicate, regardless of whether the carriers are symptomatic adults or asymptomatic children. Even if Americans achieve widespread immunity, the virus will continue to spread and mutate in parts of the world without equal access to vaccines.

“It’s a big, altruistic demand that children under the age of 12 be vaccinated in large numbers,” said Andrew Noymer, an epidemiologist at the University of California at Irvine. “The vast majority of cases will not be sick. It is not to their advantage; It’s supposed to prevent them from passing it on to others. “

Dr. Andrew Handel, an infectious disease pediatrician at Stony Brook Medicine, said: “Once approved, I will be excited to vaccinate my children. These vaccines are the best solution to the tremendous harm this disease is causing. “

While the experts continued to exercise caution until a pediatric vaccine arrived, they also stressed parents need to weigh the risks of prolonged social isolation. Overall, experts were slightly more concerned about the psychological consequences of the pandemic for children than about its impact on their physical health.